Individual
LINDY MCNABB WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PHD
Contact information
Practice address
6406 THORNBERRY CT, SUITE 220B, MASON, OH 45040-7880
(937) 672-4730
(513) 433-5475
Mailing address
PO BOX 42370, CINCINNATI, OH 45242-0370
(937) 672-4730
(513) 433-5475
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
35-072489
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10831537
CAQH
—
05
—
2018579
—
OH
01
—
35-072489
OH LICENSE
OH
Enumeration date
05/05/2006
Last updated
08/17/2018
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